Individual provider Active NPI

Larissa Browne, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1215566740
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861316 Issued in ID
Practice address
1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone
(208) 932-7048
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8861316 ID Primary

Addresses

Primary practice location

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Mailing address

2140 N Bryan LN
Idaho Falls, ID 83401-1955
Phone (239) 777-7834

Other practice location 1

211 S Woodruff Ave Ste B7
Idaho Falls, ID 83401-4866
Phone (208) 502-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520002390 ID Practitioner - Clinical Social Worker 4880163765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159

2140 N Bryan LN
Idaho Falls, ID 83401-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8861316IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Therapy LLC Clinical Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1215566740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N BRYAN LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011955",
            "telephone_number": "239-777-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "208-932-7048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S Woodruff Ave Ste B7",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834014866",
            "country_code": "US",
            "telephone_number": "208-502-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "LARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.